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Many HME providers don’t have an easy solution to analyze their data to make informed and timely decisions. Understanding your data can lead to seeing where your money is coming from, finding new cash flow and even plugging problems before they become a headache. Is it hard to gather and…
The CMS site visit verification process is a screening mechanism to prevent questionable providers and suppliers from enrolling in Medicare. Providers and suppliers will be screened by the Centers of Medicare & Medicaid Services (CMS) designated national site visit contractor, with the exception of Durable Medical Equipment suppliers which are handled by…
Needless to say, medical practices dealing with Durable Medical Equipment are in complete loss lose a lot with DME prior authorization. A lot of time and effort is being invested alone on DME prior authorizations now, which means monetary loss as an immediate effect. The recent changes and every additions…
HME Accreditation To become accredited means that you have applied, implemented and adhered to a set of business practices that focus on quality and quality of care. If you intend to submit claims to Medicare for Part B DME items, it means that you have gone through the process to adhere to the set…
DME Billing Solution It is a known fact that DME providers are already facing a lot of problems with the increasing confusion in insurance benefits and medical claims. A synchronized effort with the right design, transformation process with the help of intelligent revenue cycle management processes that adapt well with…
Recent trends show that once Medicare places a DME company on audit activity, including prepayment review of their documentation they will do the same DME Audit for any other company that the owner has an ownership interest in. There are providers trying to outpace Medicare by opening new companies which is done…
Medicare Card Changes are coming soon. By April 2019, your card will be replaced with one that no longer shows your Social Security number. The Centers for Medicare & Medicaid Services is no different. Realizing its use of the social security number as a member identifier could potentially put its…
How to incorporate durable medical equipment (DME) into the equation? While streamlining care is designed to improve patient outcomes and reduce overall health care costs, there is also an opportunity to increase practice revenue. Incorporating durable medical equipment (DME) into our treatment protocols for conditions of biomechanical etiology requiring stabilization…
Whether you’ve just started your own medical practice or have been a leader in your respective field for years, it’s important to recognize that revenue cycle management is one of your foremost concerns. When you own medical practice, you have to wear several different hats (as the saying goes). Sure, you obviously…
It’s clear that the ACA has impacted EMS Claims Management and reimbursement in many ways, of which, these are only a few. More people than ever have health insurance under the ACA and, of those, many have Medicaid. With this shift, the average per run reimbursement is lower for many EMS…
